Aims and objectives
Our aim was to develop and publish guidelines for diagnostic musculoskeletal ultrasound of wrist and hand (MSUS),
focussing on indication-based examination and implementation of a novel,
so-called “MicroVids” documentation method.
In a pre-clinical testing of the guidelines,
we decided to evaluate the educational use of standardised MSUS teaching in undergraduate education with student probands.
Methods and materials
In a large-scale literature research,
together with anatomic and radiologic experts,
suitable publications were identified to be integrated in the guidelines.
That built our basis of standard views that were included into the five indication groups.
To fulfill all didactical and diagnostic quality requirements of the developed examination guidelines,
images of the respective standard views were implemented in Ultrasound,
MRI,
CT and plain X-ray technique as well as frozen-section images.
Additionally,
digital sketches of all anatomic structures together with overview images of the respective plane...
Results
Student parameters showed higher recognition rates for dynamically documented examination,
when compared to static images.
Comparison of the two student groups showed lower mean duration of examination in the “MicroVids” group.
Male test subjects partly had significantly higher test scores,
compared to female probands (p=0.01).
Student scores showed significant differences depending on the method of test results' evaluation (mean student scores ranging from 11% to over 70%).
Thirty-three probandsfully passed the elective-like setup (9 male,
14 female,
39% vs.
61%),
consisting of two written exams...
Conclusion
The presented learning curves and recognition rates suggest that the established guidelines can be used as a valid and easy-to-learn tool for teaching of MSUS.
Further large-scale research has to be done to proof significant benefits of examination and documentation with MicroV ids-Guidelines,
as well as the diagnostic value of reporting with MicroVids-Guidelines.
Despite good availability of literature on MSUS in general,
the community is still lacking well-thought-out clinical approaches aiming at the standardization and algorithmization of examinations.
Significant developments have been achieved by the...
Personal information
Authors:
Florian A.
Huber MD1,
2
Franz Kainberger MD PhD 1
Lena Hirtler MA MD 2*
1 Department of Biomedical Imaging and Image-guided Therapy,
Medical University of Vienna,
Vienna,
Austria
2 Division of Anatomy,
Center for Anatomy and Cell Biology,
Medical University of Vienna,
Vienna,
Austria
No grant support was received for planning or conduction of this study.
A positive vote of the Institutional Review Board (Ethics Committee of the Medical University of Vienna) was received for this study .
* Correspondence to:
Lena Hirtler,...
References
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Peer teaching: a randomised controlled trial using student-teachers to teach musculoskeletal ultrasound.
Medical education 2010; 44: 148-155
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Klauser AS,
Tagliafico A,
Allen GM et al.
Clinical indications for musculoskeletal ultrasound: a Delphi-based consensus paper of the European Society of Musculoskeletal Radiology.
European radiology 2012; 22: 1140-1148
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De Maeseneer M,
Marcelis S,
Cattrysse E et al.
Ultrasound of the elbow: a systematic approach using bony landmarks.
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4. Martinoli...